Aortic Arch Replacement and Autologous Pericardial Tracheal Patch for an Aorto-Tracheal Fistula
Kelsey A. Musgrove, M.D.1, Daniel McCarthy, M.D., M.B.A.1; Andreas R. de Biasi, M.D.1
1. Division of Cardiothoracic Surgery, University of Wisconsin Department of Surgery, Madison, WI, USA
Disclosures: None
Abstract:
Aorto-tracheal fistulas are rare and highly lethal, with few reports of successful surgical intervention. We present a 48 year old man with aorto-tracheal fistula induced by radiation therapy for tracheal squamous cell carcinoma. He presented with hemoptysis and chest pain and workup revealed the aorta-tracheal fistula between the posterior aortic arch and anterior distal trachea. He was emergently taken to surgery. To our knowledge, this is the first report of an aorto-tracheal fistula successfully treated with a transverse aortic arch replacement and complex tracheal repair using autologous pericardium with an omental buttress.